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Should we start with a regular gynaecologist or go straight to a fertility specialist?

Nisha3h ago

Our family gynaecologist has known me for years, but friends say I'm wasting time and should go directly to an IVF centre. I'm 29 and we've tried for about ten months.

1 answer

Anita V.

3h ago

Both routes can be reasonable, and the right one depends on your situation. A general gynaecologist can do most of the basic evaluation: a pelvic ultrasound, hormone tests such as thyroid and prolactin, confirming ovulation, arranging a tube test, and referring your husband for a semen analysis. Many couples with simple issues, like irregular ovulation, are managed well at this level with ovulation tracking or tablets. A fertility specialist (reproductive medicine) makes more sense earlier if you are 35 or older, have tried for a year or longer, have known blocked tubes, endometriosis, very low ovarian reserve, a severely abnormal semen report, repeated miscarriages, or have already had a few rounds of ovulation treatment without success. At 29 and ten months of trying, starting the basic workup with a gynaecologist you trust is sensible, as long as it moves forward with a clear plan and timeline. What matters most is that both partners get tested and that treatment is not repeated for many months without re-evaluation. If the workup shows something specialised, or if a few months of treatment do not help, ask for a referral.

Community answers are shared experience and general information, not medical advice. For anything about your own treatment, ask your doctor. If you're struggling, Tele-MANAS (14416, 24×7) is there to listen.